Piles Treatment Services - Goyal Piles Centre


IRC : Infrared Coagulation :
Infrared coagulation is a new non surgical treatment technique that has revolutionized the treatment of symptomatic internal haemorrhoids. Much like a laser, this device focuses infrared light on haemorrhoid tissues, coagulating them. In the same way that blocking a stream will dry up a lake, IRC coagulates the "feeder veins" that deliver blood to the haemorrhoids. By gradually cutting off the blood supply, the haemorrhoid shrinks and symptoms subside. This technique is now offered in our office. Usually three to four treatments are required. But, this simple office procedure only takes about 5 minutes, is practically painless, and requires no incision or lengthy recovery or time lost from work. The success rate is high and surgery can be avoided in about 80% of patients.

What is Infrared Coagulation?
Infrared coagulation (IRC) has quickly become the most widely used office treatment for haemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and virtually problem-free. A small probe contacts the area above the haemorrhoid, exposing the tissue to a burst of infrared light. This coagulates the veins above the causing it to shrink and recede.

You can think of a haemorrhoid like a venous lake that is fed by many small streams, or veins. Blood flowing from these veins keeps the haemorrhoid full of blood and swollen. This often leads to symptoms of bleeding and painful swelling.

Fortunately, there is a simple, painless, and effective alternative. For some reason, the small veins that feed the haemorrhoids lie in an area that has very few nerve endings and very little feeling. With IRC, your doctor can take advantage of this fact by going above the haemorrhoids and destroying these small veins. In this way, the pain sensitive area is avoided. Destroying these small veins stops the flow of blood to the haemorrhoids just like blocking a river will dry up a lake.

How is IRC done?
This technique could not be simpler. There is no laxative preparation or need for fasting before this procedure. You don't need a driver to accompany you. You will be asked to lie on your left side on the padded exam table. After examining the rectum with a lubricated glove, the doctor will insert a short plastic scope called an anoscope. This is not painful but will cause a feeling of fullness in the anal area. The doctor can now view the haemorrhoids directly. Once the "target" is identified, he will pass a small infrared probe above the haemorrhoids. He will then apply 5 - 10 short bursts of infrared light. Much like a laser, this generates heat which destroys these "feeder" veins.

Is IRC painful?
The patient may feel a sensation of heat very briefly, but since the treatment is done in an area which lacks pain fibers, it is generally not painful. Therefore anaesthetic is usually not required.

How many visits are required?
Each treatment takes about 5 - 15 minutes and most patient require 2 – 3 visit for treatment, 1 – 2 week apart to destroy all of the "feeder" veins. Over time, this causes the haemorrhoids to shrink and, in many cases, disappear completely. Even if the haemorrhoid is not totally eliminated, the shrinkage usually stops troublesome symptoms such as bleeding, pain, and protrusion.


Sclero Therapy
Sclero Therapy technique is used to treat the 1st degree haemorrhoids. A medicine is injected at the base of haemorrhoids – it stop the blood supply of haemorrhoid and shrinkage of piles mars.


Barron's Band Ligation
Barron’s band ligation is an outpatient treatment for second-degree internal hemorrhoids. In this procedure, a small band is applied to the base of the hemorrhoid, stopping the blood supply to the hemorrhoidal mass. The hemorrhoid will then shrink and die within 2 to 7 days. The shrinkedhemorrhoid and band will fall off during normal bowel movements.